KIMBERLY GWEN JANNISON DARCEY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001133

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

GWEN

Last Name

JANNISON DARCEY

Business Name

KIMBERLY GWEN JANNISON DARCEY

Original Issue Date

01/11/1999

Effective Date

01/11/1999

Expiration Date

03/01/2000

City

ST LOUIS

State

Zip

63129

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/26/2006